Lisa Pavalon

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

16434 S Lexington Dr
Plainfield, IL 60586-1069

Phone

(815) 451-7875

NPI assigned

Jan 24, 2025

Last updated

Jan 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1952113938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16434 S LEXINGTON DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605861069",
            "telephone_number": "815-451-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16434 S LEXINGTON DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605861069",
            "telephone_number": "815-451-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVALON",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Pates
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• Caroline Ruth Paull, FNP
• Tory D Payne
• Teresa Pecherek-Rogers, MD
• Ashley Pedersen
• Naraily Pedraza, PHARMD
• Pendolino Integrated Medical and Rehab Clinic, PLLC

• Developmental Therapist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.